Manual Therapy Ankle

Question 1

Inf Tib Fib joint Close packed position

Answer 1

DF with ER

Question 2

Inf Tib Fib joint open packed position

Answer 2

PF

Question 3

Inf Tib Fib joint - general mob

Answer 3

Can do a distal tib fib AP or PA

Both in sidelying - can also do the AP in supine

Question 4

Talocrural joint close packed

Answer 4

DF with ER

Question 5

Talocrural joint open packed

Answer 5

20 degrees PF

Question 6

Capsular pattern Talocrural joint

Answer 6

PF>DF

Question 7

Talocrural distraction

Answer 7

Patient in supine - clasp your hands around the foot with thumbs on the first and fifth MT - apply force towards you to distract

Question 8

Talocrural AP

Answer 8

To gain DF
Patient can be supine or prone
Stabilize tib fib and then grab talus and move A to P

Question 9

Talocrural Physiological DF PF

Answer 9

Place finger on talar neck and thumbs on calc
as PF apply compression through thumb and distraction through fingers
As DF apply compression force at fingers and distraction through thumbs

Question 10

MET for talocrural

Answer 10

To increase DF/PF

Question 11

Talocrural PA

Answer 11

To gain PF

Stabilize tib fib and move talus P to A

Question 12

Subtalar joint close packed

Answer 12

eversion (like heel strike)

Question 13

Subtalar open packed

Answer 13

neutral

Question 14

Subtalar capsualr pattern

Answer 14

restricted in inversion Varus > Valgus

Question 15

Subtalar Medial/Lateral glide

Answer 15

stabilize talus - grasp calc and move in a medial or lateral direction

Question 16

MET to inc Inv/Ev

Answer 16

Tib Post
Peroneus long and brevis
TA
Peroneus tertius

Question 17

Midtarsal/Tarsal Metatarsal Joint close packed

Answer 17

Supination (push off in gait)

Question 18

Midtarsal/Tarsal Metatarsal Joint open packed

Answer 18

Neutral

Question 19

Midtarsal/Tarsal Metatarsal Joint capsular pattern

Answer 19

restricted in DF, PF, add, IR

Question 20

First Metatarsal/Phalangeal close packed

Answer 20

full extension

Question 21

First Metatarsal/Phalangeal Open packed

Answer 21

slight extension

Question 22

First Metatarsal/Phalangeal - capsular pattern

Answer 22

restriction in 1st toe ext

Question 23

Metatarsal Phalangeal and interphalangeal joint close packed

Answer 23

full extension

Question 24

Metatarsal Phalangeal and interphalangeal joint open packed

Answer 24

slight flexion

Question 25

Metatarsal Phalangeal and interphalangeal joint capsular pattern

Answer 25

flexion and extension